Association between CYP3A5 polymorphisms and the risk of adverse events in patients undergoing clopidogrel therapy: Meta-analysis

作者：Wang, Yin-Qing; Wang, Chun-Hua; Zhang, Jin-Hua^*

来源：Thrombosis Research, 2016, 147: 1-6.

DOI：10.1016/j.thromres.2016.09.016

• Genetic polymorphism
• CYP3A5
• rs776746
• Clopidogrel
• Meta-analysis

Introduction: We wished to explore the relationship between CYP3A5 polymorphisms and adverse events in patients undergoing clopidogrel therapy.
Methods: A Boolean search of the PubMed, EMbase, OVID and Cochrane Library databases was conducted in April 2016. The primary outcome was major adverse cardiovascular events (MACE). The secondary outcome was bleeding events and resistance to the effects of clopidogrel. The CYP3A5 polymorphism was classified into three types: wild-type (AA), heterozygote (AG) and homozygousmutant (GG). We estimated pooled odds ratios (ORs) and 95% confidence intervals (95% CIs) using the Mantel-Haenszel model.
Results: Twelve studies involving 8284 patients were eligible for our meta-analysis. CYP3A5 polymorphisms had no obvious influence on MACE (AA+AG vs. GG: OR=1.032, 95% CI=0.583-1.824, p=0.915; AA vs. AG+GG: 1.415, 0.393-5.094, 0.595). There was no significant relationship between CYP3A5 polymorphisms and bleeding (GG vs. AA + AG: OR =0.798, 95% CI = 0.370-1.721, p=0.565) or clopidogrel resistance (AA + AG vs. GG: 1.009, 0.685-1.488, 0.963; AA vs. AG + GG, 0.618, 0.368-1.039, 0.069).
Conclusion: No significant correlation was found between CYP3A5 polymorphisms and adverse events due to clopidogrel therapy.

• 出版日期2016-11
• 单位福建医科大学